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Sreenivas Koka: Assessment of bone quality relevant for marginal bone integrity ?

The lecture discusses in how far the assessment of marginal bone can be a suitable measure for bone integrity and implant oesseointegration. Dr Koka reviews aspects of definition of bone quality and the concept of osseo-sufficiency, and shows that we still are influenced by biases...
Implant surfaces
Peri-implantitis
Systemic factors
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Videos

Paulo Malo: Immediate Function: benefits to patient and practice

The presentation gives an insight on the restoration of edentulous situations from both surgical and restorative aspects, with focus on the immediate function protocol and the All-on-4 solution. Dr Malo reviews the indications and contraindications, advantages and benefits as well...
Edentulous treatments
Immediate loading / provisionalization
Aftercare / follow up
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Treatment guidelines

Edentulous

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Alveolar atrophy and insufficiency

Teeth extractions are followed by a reduction of the bucco-lingual as well as the vertical dimension of the residual alveolar ridge. The ensuing resorption is progressive and even the basal jaw may become involved. In the lower jaw, the....

Radiology
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Mouth opening

Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...

Temporomandibular Joint
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Risk factors

Relevant risk factors for implant treatment:

  • Children and adolescents (during ongoing bone/skeletal development), unless in selected anodontia patients. However, implant placement for orthodontic treatment purposes is indicated.
  • Uncontrolled metabolic diseases such as Diabetes Mellit...
Local factors
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Recreational drugs and alcohol abuse

It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic,...

Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Drug abuse

The medical history should reveal if the patient takes any prescribed medication and especially whether in the correct dosage. Fear of oral surgery may induce a temporary overconsumption of drugs such as beta-blockers or...

Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Smoking

Smoking and nicotine consumption have a constrictive effect on blood vessels thereby reducing blood supply. It increases the susceptibility to periodontal inflammatory diseases, dry extraction sockets and wound healing...

Peri-implantitis
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Age

Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...

Fixed prosthetics
Removable prosthetics
Local factors
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Treatment guidelines

Edentulous

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Risk assessment & special high risk categories, overview

A thorough risk assessment forms the cornerstone of successful patient treatment. Four key sources of information permit the clinician to identify pertinent risks and to determine the seriousness of each risk...

Local factors
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Local history

The key questions in a complete anamnesis are related to: mouth opening, salivary output, presence of mucosal diseases, gingival health, signs of previous periodontal surgeries, tooth hypermobility, TMJ problems, orthodontic...

Temporomandibular Joint
Local factors
Systemic factors
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Treatment guidelines

Edentulous

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General patient history

It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...

Systemic factors
Patient assessment
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Videos

Regina Mericske-Stern: Failing teeth and implants - great variety of treatment options

The lecture discusses the different reasons, why patients loose teeth and the various options for treatment with implant supported restorations. The aspects which need to be considered comprise the reason of tooth loss such as caries, perio disease or apical lesions, and prosthetic...

Radiology
Edentulous treatments
Implant prosthetics
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Patient cases

Custom-made implants - avoiding a free flap

A 47-year-old male patient diagnosed with a maxillary osteosarcoma, treated with excision, leaving a large oro-antral / oro-nasal fistula. He had to wear an obturator which leaked and was uncomfortable, affecting speech & function with a severe impact on his quality of life.

Radiology
CAD/CAM
Posterior implants
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Patient cases

Rehabilitation of an ectodermal dysplasia patient

A 22-year-old male patient presents with ectodermal dysplasia with resultant lack of permanent maxillary and mandibular teeth. He has only 4 malformed maxillary teeth and mandibular cuspids.

CAD/CAM
Anterior implants
Edentulous treatments